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CPT 0274T · Other

Perq lamot/lam crv/thrc

Percutaneous cervical or thoracic spine decompression surgery costs range from $3,511 to $7,144 depending on facility type, making it essential to verify your provider's specific charges before treatment.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
$99
Non-facility rate
$3,511
ASC rate
$3,633
ASC vs hospital gap

This minimally invasive spinal procedure removes bone or tissue pressing on nerves in the neck or upper back area through small incisions. Patients with herniated discs, spinal stenosis, or nerve compression typically receive this treatment. As a Category III CPT code, 0274T requires special documentation and may have limited insurance coverage compared to established procedure codes.

The $3,633 gap between ASC and hospital outpatient for Perq lamot/lam crv/thrc is one of the most common billing discrepancies we identify.

Non-facility rate

$99

Office setting benchmark

Data sources

4

23 data points

Key insights for CPT 0274T

ASC vs hospital outpatient savings

$3,633

Having this done at an ambulatory surgery center costs $3,511 vs $7,144 at a hospital outpatient

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Non-facility (office)$99Lowest
Outpatient (APC)$7,144+7116%
Ambulatory surgery (ASC)$3,511+3446%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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